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024-010-101
j 024-010-101 03-3527 GREEN SHARON IN ARCHER AVE, GRIDLEY CONT EXECUTIVE HOMES MHU ELECTRIC GAS LINE COMPACTION TEST REQ__ SUPPORT STRUCT REQ_ 024-010-101 03-3528 GREEN, SHARON 108 ARCHER AVE, GRIDLE FINALED CONT: EXECUTIVE HOME a _ -oy MHI 24-01-101 ' RICHARD K. ALLEN 108 Archer Avenue, Gridley _ 24-01-101 ard;K.'Allen 108' her Ave.; Gridley Permit 04-81PE(util. ;MH) -- GAS .11 -Z5 - I X1.47 1EiT 'SUPPORTSTRUCTURE— COMPACTION COMPACTION TEST REQ. 24 Contr Tom.' s ile `R` 06r' Permit# -81MH�I Iss f' %int / /1���/ 0�4 01=.101 . �• . :ontr: AARCO-Dou Williams,'Sacto. 'omit-A4504,:!87.B&qew_ awning/m) LOMACRE, Robert 1950-72P E , -0 _ s/s Archer Ave. at BonneIl Ave. Intersection, lridley (utilities for mobile home)�Q 024-010-101 03-3709 SHARON GREEN TRUSTEE, 108 ARCHER AVE, GRIDLE INALED CONT: OWNER REPAIRS N c � r a�.� _ �e .l'i:fs'.a"ua1,.bic.-Si: , .....v;',ifi.�G.1'i'.�r �asni .0 _ �!T fi��• i?;fI+1.E?a_. �. ,�fi t`.t��: ,�'_Af $. �.i'-.,i . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -%.1 ASSESSOR PARCEL NUMBER 024-010-101 ZONING SR -5 BUILDING PERMIT OWNER SHARON GREEN TRUSTE.E. 916- TELEPHONE 1-1-91551. OCC. BUILDING VALUATION (S`(Q..j�F'T. """ �� 3700 00 OWNERS MAILING ADDRESS 1921 ARROYO VISTA WAY, M_ DOIRADD HIIIS CA CONTRACTOR'S NAME owmm ELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ �. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 83.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CABIN SPECIFY Each Trap 11 7.00 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015. 00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SIDING, NFW WTNnQw.-, (4), NEW SHOWER H2O HEATER- NEW, MODRING, SH=OCK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 a00VOR LE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with tho,5p provisions. _ //j� X Date —L' Si nature of Applicant 'fq Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR.SO OR ADDNs. ( a ACC. BLDS. 3. *FT. CONST. MU LT0.Ol7TLET 97,50 FOWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''0°FIXTURES BAL p .so Ex. Occup. DUTLEEDTS FESID LNS°El 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 125.00 FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have been paid. B Date _ / PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.- C N SSESSOR PINK -INS TOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541_ E'LT NO. (Rev. 12/96) APPLICATION AND PERMIT - 'L ASSESSOR PARCEL NUMBER + ^.��0 a U A ZO�j1jG C\J BUILDING PERMIT OWNER S 7J TELIDHONE SQ. FT. OCC. BUILDING VALUATION OWNERS UN AD pESS jor CONTRACTOR'ST n TELEPHONE '! CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 0 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ C'0 ARCHITECT OR ENGINEERS MAKING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ve Energy Plan Checking Fee $ $ PERMIT FEE S 3 oe LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ OtherCa I_ {� s ECIFY Each Trap 7.00 w 7 Solar or heat pump water heater 23.00 Water piping 15.00 as Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ JUdlfies ❑ Installation ❑ Other 0 Describe Work: �Src�lrl�i, '1(Y1�[l� ` .(a) YJt:tL(a 6�%��e' T fOW L124_ , Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S oa ShtaP'} fQ ELECTRICAL PERMIT ' Filing Fee 20.00 11 .. Main Service io a oa 2 S 23.00 - / C G v CAw ' - J C ' S�Temporary 0 MEMO G �Cap am Aw- 1 SAW '��Aed j� G `� X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To j 900 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( T. NON•RES D. MULn-OUTLET RANCH CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET EX. OCCU OUTLET OR FIXTURES Es s00 p .50 � O L.50 PPLNS. OR Ex. Occup. OLmFTSFILED AESID. EA. 5.00 Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ !�� oa Eocc HAZ D. FEES IMP I FLOOD I CDP PARCEL I PD HD LSSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT +�.;»,� `"' �P` ,,� �, _ ld"" .r°�•; TM i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �`1C((On 6r eer) I I ub+tt: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: f V ' Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans; 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ ` 30. 31. Worker's Compensation CarrieVnd Policy Number ............................... ........::. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits.......:................................................. ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, 11Check to H.C.D. $ ❑ 38. Other. 00 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and equirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above itel n mbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Date: Date Date: 0-B.- I OWNER-BUELDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement :YES ❑ - NO ❑ 2. I HAVE. HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contractee } J nth the following person (firm) to provide the proposed construction: NAME: ADDRESS: 35- CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER:�>�� DATE: 0� NOTE: This Owner Builder Verification is required by Section 19831 and 19532 of the California Health and Safety Code This verification must be completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you -plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your irm diate family, and the work (including materials and other costs) is $300 or more for the entire project, and su persons are not licensed as contractors or subcontractors, then you may be an employer. N ♦ If you are an employer, you must register with the State and Feder, Governments as an employer and you are subject to several obligations including state and federal income tax -ithholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemp. yment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligatio, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, cont pct the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific infoz. ,.ation about your obligations under State Law, contact the Department of Benefit Payments and the Division of In 'ustrial Accidents. If the structure is intended for sale, property owners who are not licensed contract; )rs are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building pemik erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ly, J 1 C. Vi ira, C.B.O. er, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ADORES MISCELLANEOUS BUILDING RECORD DESCRIPTION OF BUILDINGS PARCEL OZ4- D/O - /01 SHEET OF t,4 ET Bldg. No Structure Size Found. Wall B Exterior Roof Second Story Year Floor 8 Interior De/ail or Loft Built Est. To. Life Yr Type Cover l 13A k N 17's,116P 4�S X,36 L"'dNG I X 12 13 US- V, L C Ay - �r��'t — 2 f7��E ..3-------- �t--- v/, c . or -_c w,c t, l S 384 /Ods 4 i usv. 2) too ; Aot,4e5 (1 zlI *,� /6 X80 71, Z4Ob i rY 33 6,0 /lip G42, r re�i�<s (�� � �; r: 6� , k Total; AS Of - - Z3,300 Appraiser- Date 19 19 19 19 No Area Cost Cost oo C. t Un Cost % Unit Cost % R. C. N.• Unit Cost % R. C. N. COMPUTATION Appraiser -Dote 2/Z9 Z -S-19 19 19 19 Bldg. Area No. Unit Cosf % R. C. N. Co f Good N. O. Unit Cost Cost `/� R. C. N Good L. N. D. Unit Cost `/, Cosf Good R. C.N. Unit Cosf % R C N L. N. D Cost Good L. N. D. i - 8 . - ..3-------- �t--- S 384 /Ods (1 zlI *,� /6 X80 71, Z4Ob Total; AS Of - - Z3,300 Appraiser- Date 19 19 19 19 No Area Cost Cost oo C. t Un Cost % Unit Cost % R. C. N.• Unit Cost % R. C. N. jUn, Total COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT A5 QKX ASSESSOR PARCEL NUMBER 024-010-101 ZONING SR -5 BUILDING PERMIT OWNER .T Iq q7w 91 TELEPHONE SO. FT, OCC. BUILDING VALUATION MAILING ADDRESS Q21 ARROM VIMA _ AY EL DMADO MISC DONT ESr 3700.00OWNERS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ / ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS Q V Energy Plan Checking Fee $ _Aug PERMIT FEE $ 83.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CABIN SPECIFY Each Trap 1 7.00 7.W Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: NFta STiITNf;. NF•T WTNI'ff)WS (4). NEW SRWR. 1320 NEATER. NEW F MRTNf;- SWIMON Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S 4 ELECTRICAL PERMIT Fling Fee 20.00 a00V OR LESS Main Service OA ..Ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Ias owner of the property, am exclusively contracting with licensed contractors io construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DW EwNG OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.5¢x. NON -RES D. MULTI.OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET C1 R. Ex. OCCu OUTLEr OR FDTTURES B20 0 1.SR Ex. Occup. OUTLFIXETS RES o °EEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �(/!/� Dates Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 125.00 HAZ. D. FEES IMP I FLOOD I ODF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r Bye Date �`� ReceiptNo. j rl)/ ,.. �-' .PINK I PE RMIT EXPIRES ON Date WHITE-D.D.S. B D. ' CANARY -ASSESSOR -INSPECTOR GOLDENROD -APPLICANT ,I am)) f. COUNTY OF BUTTE BUILDING DIVISION N DEPARTMENT OF DEVELOPMENT SERVICES A,- �-AMain Street • Chico, CA - (530) 891-2751 11 7Co unty Center Drive * Oroville, CA - (530) 538-7541 CORRECTION NOTICE Zu OWNER PERMIT No. X44 1— 7i A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Ica g -\.- I -e- A- 4 Date REV 10/92 - -..^�' _-` " •�^^l �.T �. r .� ..-rte r'i^, a - -.._. ... ��-. .. ..� .-.. ^'.I'-r+at-. fj..y.t•._ , S COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE -YL-c'- e21- 27a'=7 - OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleea5e contact this office immediately. id- e Date � ll Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES '411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER v� -3 7 05, PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Wu4-7 6 Date z J O� Inspector REV 10/92 A DDR ES S MISCELLANEOUS BUILDING RECORD DESCRIPTION OF BUILDINGS PARCE1. OZ4- 0/0 - /0 / SHEET OF SHEEJ Bldg. No Structure Size Found. Roof !Wall d Exterior Type Cover Floor B Interior De/ail Second Story Year Est. Tc or' Loft Built Life Y. l 136R N F S112J,0 IS Cost 11 a2�/ t+� i f1ti . r� _ /938 Cost Cost Good L. N. D / ' S i - s �D 1 Z� Vac l VIA 6�. L 2 — — -- -3 Z40 1'a- _ ` O�F►CC 1: '7 r 3 cplVc. 1t41_1:' 69 /lip 5 3s4- � COMPUTATION Appraiser -Dote 21Z5> l_ Z --S— l9 95 19 19 19 No�' Area Cosa Cost Good L. R. C.Al.Q. Cost COSP Good L. N D. Cos Cost Good L. N. Cost Cost Good L. N. D / ' S i - s �D 1 Z� -- 2 — — -- -3 Z40 1'a- _ 5 3s4- � Total, As a 9-1-9 it Z3,30 Appraiser- Date 19 19 19 19 BldNo ' Areo Unit Cost Cost o� R. C. Un t Cost' `/� n/1 Cost R. C. N. Unit Gost �/o R. Q. N. �2. Tdtal AV L�. V A.AL COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.'12/66) APPLICATION AND PERMIT ASSESSOV2•+C0.V1MV�101 v U1/�/l ZONING SRS BUILDING PERMIT OWNER SHARON GREEN 916-933-2351 TELEPHONE SD. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 1921 ARROYA VISTA WAY EL DORADO HILLS CONTRACTOR'S NAME EXECUTIVE HOMES 891-6992 I TELEPHONE CONTRACTORS MAILING ADDRESS 3042 ESPLANADE CHICO CA 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS —Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING j�DODRESARCHER AVE GRIDLEY 1 Energy Plan Checking Fee $ $ PERMIT FEE $ 43,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each Cias water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHI REPLACES MH THAT BURNED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 V OR LE Main Service . 'OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license IS n full for nd effect. P� / Q' License Class — 1 Lic. No. `N �V OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR AD DNS. ( a Acc. eLns. SO 3.5QF; NEW CONST. muLTI.OLm Er NON•RESID. @7.50 PowER APPARATUS 8 SINGLE OUTLET S OCCU OUTLET OR FIXTURES 20 @ 1:00 Ex. Occup. arra R'., D,OER, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the LSbor Code, for the performance of work for which this permit is issued. Caworker o tion nsura cyder d olic umb r are rrier /''e- p MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not 6e omple a if the per it is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' mpensation provisions of section 3700 of the Labor Code, I shall forth c mply with,�Fy provisions. F 1� X Date / Signa ure of Applicant - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FE IMP FL O CDF P C _.PJ HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B EXPIRES40NJI_71#0-�- IDet, the applicable provisions Resolutions to do work been paid. Data Receipt353--:Wo--)-�RMIT WHITE-D.D.S.-B.D.AN R SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNi`� OF 6UTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 ° Telephone (530) 538-7541 ERMIT N 12/56) APPLICATION AND PERMIT - �2 SSORPARC11NU I zo /- R — BUILDING PERMIT TELEPHONE SQ. FT, OCC. ,.... p ?j — ���� BUILDING VALUATION TRUCTION LENDER MAIUNG ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCHTECT OR ENGWEERTi MAIUNG ADDRESS KURDINGADDRESS _ n. w n _ /' LOT NO. USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ® Other `, TYPE OF WORK New R!( Addition ❑ Remodel ❑ Wr16es ❑ Installation ❑ Other ❑ 3 :i .PERMIT FEE PAID $ ,�, SRA $ I SHERIFF $_ OTHER $ H AMOUNT RECEIVED DATE RECEIVED -7/j- { RECEIPT ## v q3 96-%� Fireplace Filing Fee 20.00 Main Service Total Valuation $ 23.00 Flirt Fee $ 20.00 Permit Fee • $ NEW CONST. ( OR ADDNS. Plan Checkin I Fee $ CO NDN-R61D. Energy Plan Checking Fee $ PERMIT FEE $ PLUMBING PERMIT Filing Fie• 20.00 Each Trap 7.00 Solar or heat um water heater 23.00 Water I Ing 15.00 Each gas water heater or vent 15.00 Gas 1ping system 1 - 5 outlets 15.00 B sewer 15,00 Mobile Home S I G I W @20.00 PERMIT FEE 1$ ELECTRICAL PERMIT Filing Fee 20.00 Main Service °0°" OR Less 23.00 zo.A OR LESS 23.00 Main Service zoa► To l000A 46.00 NEW CONST. ( OR ADDNS. DWEUJNG OCCUP. 8 ACC. eLDS. 3.50 CO NDN-R61D. MULTI.OUTI .E7 B ti+`H Chic+ ) @7.50 Ex. Occu DUnET OR FVMES 20 @ I•vo 9AL @ .so EX. 0 FDCED S OUTLETS EESID:OEq 5.00 Tem or Service 23.00 Mobile Home Facilities 20.00 Wisc. Wiring 23.00 PERMIT FEE I S MECHANICAL PERMIT Fling Fee 20.00 6.50 FLHMIT FEE S Mobile Home Installation Fee $ co' Energy Inspection Fee $ CCC CONST. TYPE TOTAL FEE $ � HAZ •FEES D CDF CEL HD l This permit is here y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON • Oa - 35ag COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER 40n� PROPROSED BUILDING USE 1. BUILDING PERMIT FEES rZX11 by --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES t4 (paid at School District Office) (form available Vir Plan Check)•�M/7/0+ 3. SHERIFF FEES (paid at Building Divi Residential............ $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. A. P. # DATE RECEIPT # DATE REC. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during th a checki APPLICANT DATE����� Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) .-T ,• 'a' • t. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, .Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �% J/j rGl�1 T / Y° 1�r) ASSESSOR PARCEL NUMBER11 Proposed Building Use: H� )'` •Counter Technician: Date: Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to apply. I. Site plans, 3 or 4 sets, signed by the preparer of the plans. _ ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on�Slans AND 2 se s of f stampe and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 55. Energy compliance design and supporting documentation in duplicate. �7 6. Manufactured homes: A ata sheets and installation Inst�i) arr ge li e info,-(Coloor Plan, ie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (b) Ffoor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Z �+rrequired for initial plan review. If checked items have not been received, plan review can no prgceed. he permit will be indexed and returned to the plan review line-up when required items are received. V�j ►�7104- �, Date Received By 1,1 . Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.............................."2.......... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form...........`................................................................... ❑ 13. Fire Sprinklers............................................................................................ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other .1. Re a!ning items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ' UU���� 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ,�n/� V7164- 01 7164 -❑1 Statement of Intent for Non -heated and A/C Buildings ..................................... ...... / `f— r t J r anjttition ald�site plan approval from the Environmental Health Department in( . vl 6• (P� ❑ 19. Cbi of Chico Plumbin • efmit............................................................:........... 9P;: D 20. • California Department of Forestry plan approval ❑ paid.) Sent by: ...................... ti. ❑ 21 K Planing approval for (A) Use: K (B)Parking: ' (C) Parcel Check: E] 225 contact Land Development about -El, Improvements, ❑ Drainage �.., .....................................9................................. .� '23. NPDES Form ............................... ' ❑ 24. Encroachment, Permit for driveway from the Public Works Dept ................................. ❑ 25' Prednspecfion for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner=86ilder.Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ ?29, Wft?r of Signature authorization.................................................................... JV Recorded copy of Agricultural Acknowledgment Statement ....................................` 31. Manufactured home utility clearance............................................................... Cf• ' ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Lefler from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone ��i :.0 1. and hold for pickup. I have been informegMhy above items and requirements for obtaining a building permit. � r Applicant: ate; 1. Index pemlPa5pplication for the above items numbered: I U Plan Check Letter / l 2. Additional items required —� G/ J Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter,, -by! Date: Contractor, designer, own ,was advised of the ab veL. a a by ❑ phone, ❑ mail, ❑ counter; by ' 1 Date: Plans reviewed by- C-1 : �3 Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District r� r l �,�r , : �N (n ro T i). 4- Building Department No. A.P. Number Jurisdiction: City County Property Owner LS�%f(�j() r f el -n Property Location/Address �� /0 n0r Lie ( kahj PA. SubdivisionLot No. `Jrn :.......................... ...... .............................. : ...................... Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ........ ............................................................... ........................ ..... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior / Roofed Areas) Building Department Representative Date District Identification No. 1 h i a School District certifies that (Applicant) r� .4, (Street -Address) _ n (Phone Number) (City) has complied with the requirements of Resolution No. representing'�j(j(') square feet. School District Represehtati3e Paid by Check #r Remarks: (State) (Zip Code) by payment of $ 2926 $ ` FULL MITIGATION $ 0 Date Notice: You may protest the Imposition of the fess identilled above by submhtting a written protest to the Dftk:L In compliants with Government Cods Section 66020(a), within 90 days from the date hies are paid. Failure to submit a timely written protest wlll'prohlbit you from challenging clue Imposition of ths_fiss In any court action, K, subsequent to the School District Representative signing this Butte County Schools Impact Fee certification Form, the School Dkhhet Is rwflfNd by the appli , 1A Local Planning Agency that this project Is being -view under the California Environments! Quality Act (CEQA), time project may be subject to additional school fees to fully mitigate. its Impact on the school dbtrldls scim ohs. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm A - Era COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION :- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. (Re^" 2/96)y APPLICATION AND PERMIT %_0 ASSESSORPARCETI61 R ° u�4-tilul-101 ZONING SR5 BUILDINGPERMIT OWNER SHARON GREE '*►,. 916«�_`-L.751 J�•iI TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS IUNG ADDRESS MI et?[ROYAyyV�IS�TA WAY EL DORAW HIUS CONTRACjORC S�AM�� • E j�A•�+►7 891-6992 TELEPHONE CONTRACjOR'S TR1,L0 ADDRDE CHIOO CA 95973 CONSTRUCTION LENDER , LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS i Plan Checkin Fee $ BILDINGfj SSARQM AVE GRIDL Energy Plan Checking Fee $ r. $ PERMIT FEE $ 43.00 LAT NO. ti SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities,❑ . Installation ❑ Other ❑ Describe Work: MHI REPLACES INH THAT BURNED Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OR LESS Main Service 20pA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is`/ip full for d effect. // License Class i./ ` L� Lic. No. (� D S'g OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. & ACC. BLDS. 3.5QFT. NEW CONST. MULTI -OUTLET NON-RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES BAL p 1.Sp Ex. Occup. OFIx�LEED�A Aa ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION \ 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. N®s I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workersAc�omrpensation,insurarfce carrier d poljc, n imtper are Carrier if �� ( „yet/ `1 Policy Number ,/I_A_� � / I V (, % — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject'to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with oho provisions. X�1 ;- _ Date /� 1 Signature of Applicant - ❑ Owner ❑ Contractor YAgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $143.00 HAz. "' D Fels IMP VIFLOOD CDF I PARC _ ---r �/ PD HD ISSUE +V` This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. , B Date /Au PERMIT EXPIRES ON Y . Receipt No. r --7 / . WHITE-D.D.S.-8.13.4 / CANA`RY�ASS5SSOR PINK -INSPECTOR GOLDENROD -APPLICANT IIfD,t, t�� P ., � �. P -.-•rte ..iti..,,t - '+.,.^..vct.5`'^-.�-"''''^+„� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: ��/� - �� 0,1�1 PERMIT NO.: a -7 �- Owner's Nam/e:: Owner's Address:, Mobilehome Manufacturer: Year of Manufacture: 'Serial Number or V.I.N.: Insignia'or HUD Numbef: f 41 7 Official approving installation: Date: OK If the`rnobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor +--•ti r,_.�.. �� �.,, ,; .: � :. _ in+*i'1,r!"f'�'ti.'�+`..-.sem^rr-+-.v�,^^r'-.-"f" ""y 4 %dam; MP.. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN• / �j PERMIT NO.: Owners Name: Owners Address: K �, Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: /fit Insignia or HUD Number:, • _ Official approving installation: - � Date: */ ' ter. _.,ec' ..+��" •s':i; �-' If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor IZII ,�..�.^�i....b.}y.�1t...}%''i'a7�'�{y^w a14'4+e�F=''u^�.�-}A.�iw?i;.,y'~-^•y4�-�„—,�•,-+••^-•, ...._-,. ..«-..yi--..�..�--•��j, COUNTY OF BUTTE BUILDING DIVISION y DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 W ER CORRECTION NOTICE 3TC (�- PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. III you have any questions pertaining to this matter, or need additional explanation, please co act this office immediately. 'D vlglA// fi l'/%7y') r7M h*/////lX/6 //V1kL OUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact. this office immediately. v Date Z Z Inspector REV 10/92 Date Z Z Inspector REV 10/92 FLEETWOOD HOMES OF CALIFORNIA, INC. 18 N. PIONEER AVE. PO ' BOX 1308 WOODLAND, CA. 95776 MC# 17 Date of Manufacture HUD label No.(s) PFS838744 V2,'.ZQ02�, PFS838745 Manufacturer's Serial Number(s) and Model Unit Designation SUNCREST 4513B CAFL317A27126—SC13 CAFL317B27126—SC13 Design Approval by (D.A.P.I.A.) PFS CORP. This manufactured home is designed to comply with the federal manufactured home construction and safety standards in force at time of manufacture. (For additional information, consult owner's manual.) The factory installed equipment includes: °U' Equipment Manufacturer Model Designation For Heating COLEMAN DGAT070 For Cooking WHIRLPOOL GS440L Refrigerator WHIRLPOOL E115CH Water Heater RHEEM 21I40T Smoke Detector RIDDE 1275E Dishwasher WHIRLPOOL DU890S Garbage Disposal MONARCH 820XL Microwave/Hood WHIRLPOOL MH6150 i, y HOME'CONSTRUCTED FOR X ZONE I ZONE II _ZONE III EXP. "D" This home has not been designed for the higher wind pressure and anchoring provisions required for ocean/coastal areas and should not be located within 1500' of the coastline in Wind Zones II and III, unless the home and its anchoring and foundation system have been designed for the increased requirements specked for Exposure D in ANSI/ASCE 7 - 88. This home has ( ) has not (X) been equipped with storm shutters or other protective coverings for windows and exterior door openings. For homes designed to be located in Wind Zones II and III, which have not been provided with shutters or equivalent covering devices, it is strongly recommended that the home be made ready to be equipped with these devices in accordance with the method recommended in manufacturers printed instructions. Design roof load zone map: North 40 psf X South 20 psf X Middle 30 psf Other psf 9 COMFORT HEATING This manufactured home has been thermally insulated to conform with the requirements of the federal manufactured home construction and safety standards for all locations within Uo value Zone 1, 2 , 3 . (See map at bottom) Heating equipment manufacturer and model (See list at left). The listed heating equipment has the capacity to maintain an average 70 degrees Fahrenheit temperature in this home at outdoor temperatures of — 121degrees Fahrenheit To maximize furnace operating economy, and to conserve energy, it is recommended that this home be installed where the outdoor winter design temperature (97 %%) is not higher than —64 degrees Fahrenheit. The above information has been calculated assuming a maximum wind velocity of 15 mph at standard atmospheric pressure. COMFORT COOLING F]Air conditioner provided at factory (Alternate 1) Air conditioner manufacturer and model (see list at left). Certified capacity B.T.U.1hour in accordance with the appropriate air conditioning and refrigeration institute standards. . The central air conditioning system provided in this home has been sized assuring an orientation of the front (hitch end) of the home facing . On this basis the system is designed to Maintain an indoor temperature of 75oF when outdoor temperatures are of dry bulb and of wet bulb. The temperature to which this home can be cooled will change depending upon the amount of exposure of the windows of this home to the sun's radiant heat. Therefore, the home's heat gains will vary dependent upon its orientation to the sun and any permanent shading provided. Information concerning the calculation of cooling loads at various locations, window exposures and shadings are provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this home. EI Air conditioner not provided at factory (Alternate II) The air distribution system of this home is suitable for the installation of central air conditioning. The supply air distribution system installed in this home is sized for a manufactured home central air conditioning system of up to 5 7 , 0 0 0 B.T.U. /hr. rated capacity which are certified in accordance with the appropriate air conditioning and refrigeration institute standards, when the air circulators of such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air delivered to the manufactured home supply air duct system. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this manufactured home. To determine the required capacity of equipment to cool a home efficiently and economically, a cooling load (heat gain) calculation is required. The cooling load is dependent on the orientation, location and the structure of the home. Central air conditioners operate most efficiently and provide the greatest comfort when their capacity closely approximates the calculated cooling load. Each home's air conditioner should be sized in accordance with Chapter 22 of the American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition, once the location and orientation are known. INFORMATION PROVIDED BY THE MANUFACTURER NECESSARY TO CALCULATE SENSIBLE HEAT GAIN Walls (without windows and doors).....................................U' .06 Ceiling and roofs of light color ......................................... 'U° .03 Ceilings and roofs of dark color ....................................... °U' .03 Floors........................................................................ .u- .05 Air ducts in floor........................................................... 'U' .09 Air ducts in ceiling......................................................... °U° NA Air ducts installed outside the home ................................. °U° .25 The following are the duct areas in this home: Air ducts in floor..........................................................: 790 sq. ft. Air ducts in coiling.......................................................... NA sq. ft. Air ducts outside the home ............................................... `.-56 .5 sq. ft. U/O VALUE ZONE MAP WA NH MT ND VT ME OR MN to SD WI NY MA WY MI RI NV NE +'UT IA PA IL IN OH CT NJ CO CA KS MO VA DE KY MD AZ NM OK TN~ NC AR SC} ZONES U -VALUES MS LA tAL; :< p� 0 0.116 t� AK TX 2 r-71 0.096 HI ti. O 0.079 CONTRACTOR'S VERMICA'riON I certify that I have installed the GLISguardEngfileered ':Cie Down System (SPA No. ETS.1 12C). I have made no modifications to the tic down system or to the building structure. Company Name:: Executive Hollies Contractors License H 640583 Date: p 0 Signature: NOTES RESIDENTIAL PERMIT N0(024-010-101 ` 03,3528__ GREEN, SHARON 108 ARCHER AVE, GRIDLEYf " CONT: EXECUTIVE.HO. MES ,, - -- MHI t t _3112 - SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ! SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address r GAS MeterELECTRBy Dat v / Meter By i t JOB FINALED ( t Simatur . J=OK 0 = Not OK . = NotReadyb1e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE, HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line - 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers_Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) .1!loning Requirements -Setbacks -Easements . --footings; Size -Spacing -Marriage Line lect y; M H Test ter; Test a and Sewer Connected and Electricity Tagged zits L� cals Verify #'s with Office Card B-1 Date Card B-1 Card B -1a 1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans), OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails '4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Linina 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card 13-1 Date Card B-1 J=OK 0 = Not OK Not Applicable . = Not Ready. RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First. Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28.'Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water.Well, Disconnect, Electrical, -Plumbing Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date - Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final:. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter . 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper; - 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection - 78. Plb.; Elec. & Mech. Equip. Listed for Location. 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic , 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes'b No/Walks ❑ Yes 0 No/Planters 0 Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water.Well, Disconnect, Electrical, -Plumbing ( 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection' 91. Corrections from Previous Inspectioris 92. Gas Test -Meters Tagged, Gas -Electric - ,93.t Water & Sewer Connected -C/O to Grade -HD Approval 94 ,/Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final:. Building Permit Number: 03,3529 Owner Name: G rzzM Residential Construction Re uirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Id u R Page 2of 2 Building Permit Number: Owner Name: Cq reer) JM Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. 0 The following parcel map requirements shall be met: Se _` All structures and equipment including overhangs shall be clear of all easements. A setback of—�Q_ feet from the side and M feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. == Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. E IOPT. DEN #2 OPT. CORNER BAY DPT. DEN ra-2^x W-10' !orr. VOL DOORS OPL RECE66ED ENTRY Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams, are meant to be representative and, in keeping with FleetwQod's policy of constant updating and Improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage Is measured from exterior wall to exterior wall, and Is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not Included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. SU/17/DECO2 1. Owner's Nance, 2. Assessor's Parcel N►in►her: 094_ O ( D— i D I 3. Installer's Name: 4. Is the site currently under per110 Yes[ I No Permit No. 5. Is the site an existing site? Ycj- Not I (If yes, lin-uish two plot plans). 6. What is the electrical rating of the n►ol►i1el►on►e7 Amperes. 7. What is the mobilehonre site circuit hrealcer rating'? Amperes. 8. What is the electrical rating of the nruhilehonre site? ILQQ Amperes. 9. Is the main service remote from tl►e n►ohilelionie site? Yes[ ] No[x] If it is, what is the rating'? Amperes. IU. Is there any other electric load to be served by the nrohilelrunre site electric service (i.e. well, garage etc.)'? Yes[ ] No[ ] Ifyes, please identify the load and size: a) The mobile home site: Load- _—_— Amperes - h) The main service: — -- Load- Aiuperes- I I. Type ofgas service at naohilehonre site: Nalrrral[ I I'rop:mejxI None[ ] 12. Size of gas pipe at lire nurhilehonre site from the meter or tank: �� '�_ inches. 13. What is the gas pipe length li-onr the ureter or tank to the uiohilelwnrc7 `Zl Ill. What is the mohilehonre gas denrancl7 N_.1 A D.T.U.* *(This information is not required if the pip-__ is less than 6 feel on natural gas or less than SO feet on propane). T111 OTHER SIDE Or THIS IFORI\11VIUS'I' BU; COI\IPLE'ITED IN ORDERTO PROCESS THIS I'h�It[1ll'l' A1'l'L,ICA'1'lON May 19'95 xIUIL%gym W p. 11,5 . .... ... ................. JL/ R 1 Mobilehome ti(anufacturer:_ IC� � � _ l _ M11fill fltcture Year: If other than single wide, (ill nisli .Setup Model Number:_ WidthG'(�` ((t.) Length:�81�"(t.)1'apiolig or 13xpantlo Size -.___ (lt�)._ -- -.-.-•((t.) Oil all illobilehontes manufactured atter October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOO'T'INGS: Wood pressure treated or foundation gradeN.] .011ier: SUPPORTS: Concrete block[v Odler: Provide Tie Dolvn Specifications for all I\-lobilehoules: Ifier hootill9,7 Sizes mid Localion SINGLE WIDE A1111 I'l-WII►E Line I �—Line 1 Line 2 Line 2 ...................................................................:............................ ► Alain Deana Line2..........................�.............. . Line 1 ► --- 4— Line 3 Line 2 ................................................................................................ 1 Alain Dennis ................................................................................................ tij .met Line I .............. I............................. � ""' "\ — Line S ,.ag nr " ri,rle me 1 ............................ r �--Line I I Line 1 Piers: Size nlininlunl: x 1_Z.`1 Spacing max11111111: —_$ Q`_" Front ends-maxinluni;. ` '� _ Line 2 Piers: Size llinilmlm: x 0 Spacing maximum: From ends-nlaxinlunl: ) ` Lille I Openings Size 116161111.1111: L L"ach side of openings, Willi width over: "� Line I Picts: Size nlinin►uni: i ) x [ ] Spacing maxinnlnl. " From ends-nlaximilliv ` Line 3 hoof Loads: Size nlininlunl — — - ----- --- - -''— '=-y x3o Z`1 x3o �`Ix3� 3��•3$ "Z'1 k3Q Location (frons fi-ont): la Line 5 Roof Loads: Size nlininlunl: Location (frons fi-ont): OVER ��J:74 �J'� � �i� i� J G � '� U �VUd�: • rID a u —6" 1 1 -. 1 MORNING ROOM DESK 81.2 SOFT. O 4 OFT STEREO RECEPT 2 REFER 4 30 0 1 1 4 2 } OpT C W FURN OCo C, �Z., I flll ITY zg 0 n 6 1CN 30 LL 10 D.L 44 O W z� HT. 118' cc W W 6 BAT W C iN W N H W - (us) H WM 0'-0' 0'—d'• 3 O 18 SAFETY 32 Y 14'-7" 10'—� 10'-7j" 5'-4" GFl8 bPT. ENTRY /LOCK COPT op,-1gj`OPi . O ` O EGRESS SINK toli,\,—A 28OPT BEDROOM L1 164.5 SQ.FT. JGFIJ DINNG ROM 1012.4 SOOFT. CIRCO 29 5 OPT 30� 1o 6 6 I I I I I i LIVING ROOM 275.7 SQ.FT. BEDROOM #3 96 SQ.FT. OPT i 28 HALL � , 28 28 % ``w 4 7 I I 7 I 7 OPT 1 BEDROOM 42 1.28 SQ.FT. 36YO r\,-Gjy-ePn Ay-c"r Au C�,ricL1�� -77�6'�o��-c��trl APPROVED PFS Corporation ENTRY - 2 , Madison - 4 • ` 11 11 2O D Q O 4116/03 EGRESS EGRESS i HUD Manufactured 8'-8n 13'-4" 18'-0" 10'-8" Home A. i NOTES: 11,-0,, 25'-4" Construction 8, 14'-4" ( Safe}' Standard 1) This floor plan may be built as an exact 96' Sheorwall ;3L ,�� COUN •7 mirror image about the length and/or width axis. 3 Joists & 2 Lags L7i.r CO UN Egress window(s) shown With less than 5.0 ft2 vent w/ G—strap U�Lp��Ca pEPARTiVl' area meet egress requirements through sash removal per window manufacturing instructions. located on the window. � V3) Receptacle shall not be installed within 30' of tub / 4 P P ! R shower space. Submittal #: 15-03-4534 HQ— S17F DESCRIPTION GLAZ VENT N SIZE DESCRIPTION GLAZ VENT WOODLAND # 17 sHr. 1 46"X58" V. SLIDER 15. 7. A 36 X80 H U - - O RECEPr.(SEE ELECT.SPECS.)�• pNL BOX FLEEM�� FLOOR PLAN of 36"X58" V. SLIDER 11.6 5.8 B 32"X80" BLANK 4.8 — m # swrCH 5x 10 AIR REG: 3 46 X40 H. SLIDER 9.7 5.2 w O LIGHT FIXTURE Art SUPPLY ' 8 72"X80" SGD SAFETY 32.617.4 0 O THERMOSTAT ® CEILING REGISTER e1 MODEL FEV. T-1730 X58" V. SLIDER 9.4 4.8 w ® EXHAUST & CEILING FAN p sHEARwAti MEL a 13'-4 x 50'-8' SUNCREST 12 3 "X40" H 3.2 ®HUSH —SMOKE DETECTOR p SUPPORT Po57 '4/2/03 B: 13'-4 x 50'=8 45138 C ® k}�R DOOR BELL TRANS. R/ETURN AIR GRILL NTS 2c4 PER 2i6•PER 1CN 30 LL 10 D.L LOCATION FROM LOCAnM FROM HT. 118' eZl WADSMAX. - (us) a WM 0'-0' 0'—d'• 4100 18 6'-4' 32 J � 10'-3' 10'-5' 9300 2 B 15'-6' 8 z W o 31'-4' '31'-6' 9400 3 8 15'-8' 8 41'-9' 41'-11' 5900 4 B 9'-10' 6 � F W a U) 50'-B' 51'70' 3500 5 B 5'-4' 32 ? • Indiccdes 2' Bemire is Required 36YO r\,-Gjy-ePn Ay-c"r Au C�,ricL1�� -77�6'�o��-c��trl APPROVED PFS Corporation ENTRY - 2 , Madison - 4 • ` 11 11 2O D Q O 4116/03 EGRESS EGRESS i HUD Manufactured 8'-8n 13'-4" 18'-0" 10'-8" Home A. i NOTES: 11,-0,, 25'-4" Construction 8, 14'-4" ( Safe}' Standard 1) This floor plan may be built as an exact 96' Sheorwall ;3L ,�� COUN •7 mirror image about the length and/or width axis. 3 Joists & 2 Lags L7i.r CO UN Egress window(s) shown With less than 5.0 ft2 vent w/ G—strap U�Lp��Ca pEPARTiVl' area meet egress requirements through sash removal per window manufacturing instructions. located on the window. � V3) Receptacle shall not be installed within 30' of tub / 4 P P ! R shower space. Submittal #: 15-03-4534 HQ— S17F DESCRIPTION GLAZ VENT N SIZE DESCRIPTION GLAZ VENT WOODLAND # 17 sHr. 1 46"X58" V. SLIDER 15. 7. A 36 X80 H U - - O RECEPr.(SEE ELECT.SPECS.)�• pNL BOX FLEEM�� FLOOR PLAN of 36"X58" V. SLIDER 11.6 5.8 B 32"X80" BLANK 4.8 — m # swrCH 5x 10 AIR REG: 3 46 X40 H. SLIDER 9.7 5.2 w O LIGHT FIXTURE Art SUPPLY ' 8 72"X80" SGD SAFETY 32.617.4 0 O THERMOSTAT ® CEILING REGISTER e1 MODEL FEV. T-1730 X58" V. SLIDER 9.4 4.8 w ® EXHAUST & CEILING FAN p sHEARwAti MEL a 13'-4 x 50'-8' SUNCREST 12 3 "X40" H 3.2 ®HUSH —SMOKE DETECTOR p SUPPORT Po57 '4/2/03 B: 13'-4 x 50'=8 45138 C ® k}�R DOOR BELL TRANS. R/ETURN AIR GRILL NTS F—Z TIE DOWN SYSTEM DESIGN LOOS: WIND LOAD -- 15 PSF 1. THIS TIE DOWN SYSTEM IS DESIGNED 10 BE CONSTRUCTED ON A FAIRLY LEVE_ SITE WITH NO EXISTING SOIL PROBLEWS_ MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARINGU CAPACITY OF 1000 PSF. AS SHOWN IN THE "MANUFACTURED HOME INSTALL -666 IMSTRUCT101,'S" 3. EH AREAS WHERE DIFFERENTIAL SETTLEMENT (OS) CAN OCCUR„ MANUFACTURED HOME SHALL BE READJUST_'D WHEN OS EXCEEDS 1/4", OR 'WREN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT_ 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINE .7R FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO A!SC SPECIFICATION. WELD ACCORDNu^ TO AWS SPECIFItiATgNS. ELECTRODES -370 PLATED—ASTV A36. BOLTS=ASTM A307. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / S' MAX. E= 2' MIN. / 1 V 14AX. VARIES 10'-70' --- -- EVE: ILY SPACED BETWEEN t� rTz}� Q Q l -J L -J RIEOE SEAM SUPPORT AS REO'JIRED EY MANUFACTUR_F. p p (TYPICAL) ❑ 0 E-7 TIE SUPPORT PAD--, r—, (TYP..,AL) ' r L /D -t t I ❑ Q cHtSSIS 13EAM SUPPORT-;PIEP,S--SIZE AtD SPACING AZ REQUIRED BY 1"E" HOME MANUFACTURER.. [[�� ��jjii1 �e �!A►p AAA-w� 7 4 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING, -WADS. '1 HORIZONTAL F—Z TIE DOWN SYSTEM DESIGN LOOS: WIND LOAD -- 15 PSF 1. THIS TIE DOWN SYSTEM IS DESIGNED 10 BE CONSTRUCTED ON A FAIRLY LEVE_ SITE WITH NO EXISTING SOIL PROBLEWS_ MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARINGU CAPACITY OF 1000 PSF. AS SHOWN IN THE "MANUFACTURED HOME INSTALL -666 IMSTRUCT101,'S" 3. EH AREAS WHERE DIFFERENTIAL SETTLEMENT (OS) CAN OCCUR„ MANUFACTURED HOME SHALL BE READJUST_'D WHEN OS EXCEEDS 1/4", OR 'WREN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT_ 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINE .7R FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO A!SC SPECIFICATION. WELD ACCORDNu^ TO AWS SPECIFItiATgNS. ELECTRODES -370 PLATED—ASTV A36. BOLTS=ASTM A307. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / S' MAX. E= 2' MIN. / 1 V 14AX. VARIES 10'-70' --- -- EVE: ILY SPACED BETWEEN t� rTz}� Q Q l -J L -J RIEOE SEAM SUPPORT AS REO'JIRED EY MANUFACTUR_F. p p (TYPICAL) ❑ 0 E-7 TIE SUPPORT PAD--, r—, (TYP..,AL) ' r L /D -t t I ❑ Q cHtSSIS 13EAM SUPPORT-;PIEP,S--SIZE AtD SPACING AZ REQUIRED BY 1"E" HOME MANUFACTURER.. [[�� ��jjii1 �e �!A►p AAA-w� 7 4 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING, -WADS. HEIGHT HORIZONTAL VERTICAL UPLI Von 18" 2010 (lb) 6000 (lb) 891 � 21" 1325 (lb) 6000 (lb) 801 -(lb) 6 25" 28" .151D (Ib) 1/,ICI (Ib 6000 (lb) 60 f 664 (Ib) 00 29 (Ib) 36" $67 (Ib,1b) 0 � 6000Ilb) 385 (Ib) I1,1 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE COATED. - 8- WHIRL STAND IS PLACED DNA CONCRETE SLAB, LSE 112° CONcF XPANSION ANCHORS TO SECURE TNF STEEL FRAME TO THE SLAB. THF PLASTIC BASE PADS ARE NOT REEWRED. 3_ ATTACHWENT METHODS FOR "C" & -J" BEAMS SHOWN ON SHT. f2. 10. THE: LONG DIRECTI.GN OF THE E -Z TIE PAD (37") MUST BE INSTALLED PERPENDICULAR TO THE CHASSIS BEAN. A.BESCO-GUS GUARD CdT3,ANY 585I FLORN - PERKINS ROAD SACR,aJ+C-N-TO, CA 955.23 PH: (800) 362-8831 FAX: (916) 363=5207 LEAGTTH'I' I I RUMBER HT OF 25" E -Z TIES HT j Z8' HT 30' HT 4Qr A NN!, k b 4:, �4 4 4 d 4 i 6 G 60' 4 4 4 o I 8 4 4 4 6 E 70 4 6 1 E 6 10 APPROVED SUBJECT TO COPRECTOPES RIOTED fipprD4 does wt authclze or vpro�:e any omission or . , deviation from requirements of aPpPczble State laxs and e5 regutations. State of u4c11:':•rF1:J Department* ousjng ao4 Comrnun:`y Oevefeprnent tS! 10D�S r9 STANDAROS i `Hy / Date � 0 t J;nJtui 1' / �.....�� 3 S::^.1 Pio r/J d This Pian Approval Expires ` {c") 3p THIS TEE DOV�N SYSTEM MEETS THE REQUIREMENTS OF SECTtOAi 1336.3 SUBSECTION (a). WO'NE T. POt_VADO, PE—LISTING NO. 99001 - SHEET I of 3 M 0 H l 2"x2"x3/16" STL ANGLE I/E" CAD PLATED BOLT, NUT k WASHER COUNTEP. PORED FLUSH WITH EOTTOM (8) REQUIRED r 1/4" STAND BASE ABESCO ADS PAD #503 DETAIL "A" CHASSIS FRAME 1/4" GRIPPER. PLATE (2J REQUIRED 1/4" GRIPPER. BASE 1/2-13UNC-A307 x SOLT TaTH NUTS (4) FEQWRED 101 1/2" SCH 40 PIPE P,ISEP. W;TH - 01/2' ADJUSTER, HOLES AND 3/S" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWD - P1 /2' ADJUSIEP. HOLES �1 , ASESCO ABS PAD j5D3 STEEL FP,AWE \ 314' DtA. x I&- LG. (4) REQUIREO / 30" mAX mo=d TO BOTTOM. OF PAD I p1/2% 3- C.P. L6CY. PIN WITH gl/F" FRIDGE P9K I 1 I J / 1/4" GP.PPER BASE 1/2` k307 BflLT—/—'I `-1/2" A307 BOLT 37" (4) REQUIRED �J (2) REQUIRFD is 1/2- t4BESG'a-GETS Gi7/tRD CO`hgPA 5851 FLORUN - FEZRIM,13 ROAD SACRAMENTO, Cls 95x23 PH: (BOO) 362-8631 — FAX: (916) 383=52D7 10.50 1/2" DI.k._ HOLE (S) PLACES 30 -DO Top vl_W —1 1/2"�(4)R 1 1/2"x3EOUE/16 z2" T.S. 3045 F..D (�) °L^S v----------- , I c LALDING DEPAR f E 10.00 i-. 4 P l— COAC] f FRAME 0 09/16 HOL= (TYP STAND SASE TOP 'll= W i/4"xl—}/4 TEN. STS (2) REQUIRE COACH "J" FRAME 1/4^x1-1/4" GRIPPER TEVSTS ATE II SNNEL / (3) REQUIRED E 1 /2" A307 BOLT 1_ (2; REQUIRED 1/4" GRIPPER BASE C—BEAN : —BEAW ATTACHMENT ATTACPMENT E—? TIE DOWN SYSTEM - WAYNE T. POLVADO, PE—LISTING NO. agflp I SPEET 2 of 3 C n IL k. /- w m LO Ui ry cn 0 m 6' w t.� F INSTALLATION INSTRUCTIONS -Z TIE DOWN SYSTr'm 1. PIENS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CRDSS hdEMBER, OTHEP.WISE INSTALL WEB STIFFENER. ON CHASSIS BEAW. 2. MAKE LEVEL THE PLACE WH.E:R,E THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST 8E CENTERED BELOW THE CHASSIS REAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER THE HOLES IN THE BASE PLATE WILL LIN UP WITH THE STUD BOLTS_ REPLACE THE NUTS AND WASHERS AND TIGHTEN DOVWN. S. REMOVE THE TWO (2) GRIPPER. PLATES On THE TOP OF THE PIER,. START THE HEIGHT ADJUSTMENT SY REMOVING THE COTTER AND ADJUSTMENT PINS, PI=PS CAN THEN TELESCOPE_ RAISE THE TOP EDF THE PIER UNTIL THE MATE IS AS CLOSE TO THE BOTTOM OF THE CHASSIS BEAU{ AS PASSIBLE. PLACE ADJUSTMENT. PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER, PIN. 6, . RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOh1 OF THEE CHASSIS BEAR/. 7. PLACE THE GRIPPER. PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. BEAWS AND i -BAMS 8. HEAD 4F PIERS REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THE BEAD IN ADDITION TO ONE GRIPPER, PLATE. S. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIV--N THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. ALTERNATIVE: (2) #12 S.M.S, OR WELD (2) k12 S.M.S.- ANGLE IRON 1 "` "x 11/2'x 3/3 6 " NOTE. USE STIFFNER IF OUTRIGGER OR CROSS MEMBER. 00 NOT OCCJR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL 4BESC< -GUS GUARD COMPANY 5851 FLOPJNT - FEUJNS ROAD SACR/U 0, CA 95823 PH: (800) 382-8831 FAX: (916) 383-52r•7 9 FPA WAYNE T. POLVADO, PE -LISTING NO. 99001 SHEET 3 of 3 1 /`i'Z ; — -4 r A LQx�� A-V L9 - t Al FLANNINGN : BUILDING PLAN APPROVAL Date:Landscaping: Q: Assessor `Name THOMAS'ROBEFIT G REVOCABLE TRUST Asmt # `� I Fee # 024.010-101-000 Status. JACTIVE Status Date I----iJ :$ddr1 THOMAS ROBERT G TRUSTEE Y � — - - Tax 0001 NORMAL OWNERSHIP. TRA 075_018i� 4ddr2 1921 ARROYO VISTA WY Situs .1.08_ARCHER AVE GRIDLEY _ kddr3 EL DORADO HILLS CA 95762-9797, -- -- - Base Di moms A�ddr4 r �I _- - -� Land 0 .� Structure a r r Timber Preserve 0 Comments 2401010100 CONVERTED 09/08!88 ` rJ AgPres -d Fiiitures 0 Etal Notes Growing 0 Creating'Doc# 198382880458 , Date - Total L&i 0 _.- Current Doc# 20008. 0000110 Date 01/03/2000 Bonds Fix. R 0 U Multi Situs - i illingDoc# Date r- Flagl MH PP Asmt`Desc002:40AC108ARCHER S'uplCnt O Flagg' . PP 0; _ 'Zoning SR1 .00 IlDweiiFo, 1 1 910 MH Exempt -----A0 T a-� Acres7Sq Ft 2.49. NJC 024 1 Asmt PP Pen Net I Tax PP Pen RIC# �J AppealPending TJR Dt�� ` r -- -- - Split Pending RJC-Stat�� 0f .`, 0WN` i EXP ` TAX j ATT SIT APR. H� PCL � .: ►� "s. IF Find Ii A Ready_; �� 2003 jwright, 09 f 1812003 1:42:53 PM National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # County Storm Water Permit Compliance. for Butte By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (S)APPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project"will not disturb more than 1 acre of land. I have also reviewed the BestManagement Practices Handbooks, California Storm Water Quality Task Force,. Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. K at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in signific enalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.0.I.),.a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDESA SWPPP Non-Compliance,CertiScation Draft Butte County Stormwater Plan —e-1, !�d R i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 ` CORRECTION NOTICE , 4)E—tib NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pit se contact this office immediately. 11c I 12zf-) F -C) Date /yInspector REV 10/92 -V FILE No . 950 12/12 '03 PM 02:37 1 D : EXECUT I UE HOMES FAX :530 891 8753 PAGE 2 g1NI0F _ STATE OF CALIFORNIA 49 9uSINESS. TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8 • m • OIV1S)ON.OP CODER AND STANDARDS •----..-.._ .........•... __ _ __ 7 MANUFACTURED HOUSING PROGRAM ' �`— MANUFACTURER CERTIFICATE-OF"ORIGIiV:.. 3J ❑CHECK IF.THIB 19 A DUPLICATC ACO -ENTER ORIGINAL MCO IYO. •• ,MULTI -UNIT MANUFAG?URE�•f0U61f� - ' • • •• (--� NUMBER OF �.;,.... _...... ❑ SFO (SINGLE FAMILY DWELLING) O MUMH (MULTI -UNIT MANUFACTURED MOUSING TRANSPORTABLE SECTION$ _ OCCUPANCY GROUP • MAKFfiW81NAftno OF CALIFORNIA, INC. MANUFACT R _R LICE, NUMOER: Rift mclqgp�flm ^7+.A T rxi-poVTTAT TRAN9AMRRICA DI9TRI.HDTION FIN SECTION MANUFACTURER RF.RIAL NUMBER 18_ '9013 1L317B27126-9CI3 CA 1� ,/p ,. Cn (State) _ (ZIP) MODEL NAME ANDlOR NUMBER: 4``3D 2004 tED TO): CALIF. DEALER NUMBC:R OR TRANSFEIs6`E 610N.ATION: CHIC1Q- PALATIN19 f4CU INS!0NIA OR HUD.LARF'L NUMBG.R PF90836744 PF80838745 1Ft11j1FREWJMSPORT, INC. TNANBpORTER/�UpgF,Bfl Y O 8pg 179 D eh..1 Cb DURHAM CA UEBTINATION FOR UNIT UESCRIDCO ABOVE: 81910 12/03/2003 IATE OF TRANSFIER: 12;09/2003 CA 95973 IL 60094._ LENUTII. - WIDTH- - WEIGHT INCHES INCHES)_POUNDS 612 160 12,-90.0_ 611 160 23,440 99938 I Cattily undo) penelryOI Pp1 j un"t 11�e laws of the 81010 of CeWOrrue that the above teen are vue 9nd owt cl. I2/03/a WOODLAND ERenulad on e1. YOLO CA- /),c A_ (Dela C11Y) ( OUnly) (Stale) S10NA1'Un E-OF-AUT'HOR12P.L➢ AOFNT:- .� - DIBTRIBUnON: ORIOINM. (PINK) FORWMD._T#rTnANfiPORTER .INVEN'tOnY.CREDITOR. UNI.CBS T1tERP. 1A-NONF.: THEN FORWARD TO THE-PUnCHABER (DEALER OR TRANSFEnfi6), COPY 1 11 E) rORWAgO T DEPARTMENT ATP.0- BOX 1628. SACIIAMF.NtO. CA 86012.11126, MT14IN FIVE 16) DAYS OF RELEASE. COPY 2 (VELLO" DELIVER TO TO ACCOMPANY TI IE UNIT TO ITA OFSI INATION, COPY 3 (GOLDENROD) TO BE RETAINED BY TI If. MANUFACTURER MCD 483.0. 8Ide.1 . (7/07). COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 PERMIT NO. (R@v.12/96)= APPLICATION AND PERMIT � 3' 36,,,7 ASSESSOR PARCEL NUMBER 024-010-101 ZONING SR -5 BUILDING PERMIT OWNER SHARON GREEN TELEPHONE 916 -933 -235 - SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ ME ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ q'i no Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S 23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CK Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CK Installation ❑ Other ❑ Describe Work: MM- REPLACE BURNED Gas piping system 1 - 5 outlets 15.00 —Buildina sewer 15.00 Mobile Home @20.00 60.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT I Fling Feel 20.00 vo Main Service 2o0A OR LESS 1 23.001 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i in tull force and effect. License Class Lic. No. ������ O NER-BUILDER UCI:LARA ON I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 20" TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BIDS. SO 3.50FT. NO"�.pEOSIDT MULTI•oUTLET 97,50 PGWER APPARATus BSINGLEOUTL ET CIR. Ex. Occup. OUTLET OR FIXTURES SAL Q �. 0 Ex. Occup. oimErs AEsa.) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE s 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the)Labor Code, for th rmance of work for which this per ' is issued. My wor s' o p nsati i e farrier umber e Carri M ri Policy Number —1 (The above secti ns need not be compete a pif-mA is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' ' compensation laws of California, and agree that if should become subject to the worker ompensation provisions of section 3700 of the Labor Code, I shall fo it comply those provisions. r X Date ""� rSig ature of A (cant - ❑ Owner ❑ ContractorAgent An OSHA permit is required for excavations over 60" d ep nd demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAz IMP_ V/ CDF — PARCEL PO ISS This permit is hereby issued under the applicable provisions of the Butte Cou Code and/or Resolutions to do work indi t e f which fees have been paid. e By J)ate T PERMIT EXPIRES ON / 06 tv I ele Receipt No. -1040 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H.M§8 OWL Mot Plan dttnchod Root Mart dttacltad-'�Z— Sontto G.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Dispos'a -- , Water Supply: , Public Private Wi�ll� Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION n , 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140' T PERMIT APPLICATION DATA SHEET ` "- `lprs OWNER e ((1(� �r Z° to'� ASSESSOR PARCEL NUMBER OP, 41 Proposed Building Use: At t- h er AUr MJJ�, Counter Technician: '�t"" Date: ��" � �� �• Ite s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! / ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. jnJ4. 5. Flood Elevation Certificate, wet -stamped and signed, in duplicate.. Site plan and business license approval from the City of Biggs...... Letter of intent for non-residential buildings ............................... Detached Accessory Building Form filled out by the owner........ Hazardous Material Form......... .............................................. Fire Sprinklers ................................ :................................... Agriculturafer clr and site plan apr from the Ag Commissioner Sent by Date Received By Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 17. Statement of Intent for Non -heated and A/C Buildings ............................................. r 1+ . Sanitation and site plan approval from the Environmental Health Department in "t" ❑ 19, City of Chico Plumbing permit........................................................................ ❑ 20. California Department'of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: © K(B)Parking: (C) Parcel Check: / - ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form.............................................................................................. 4. Encroachment Permit for driveway from the Public Works Dept . ........................... 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... 4-130. Recorded copy of Agricultural Acknowledgment Statement .................................... t .2 • IIB -03 K► 4 ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone e_6n 4 and hold for pickup. and requirements for obtaining a building permit. Plan Check Letter ontra esigner, owner, was advised of the above data by 7 pho e, ❑ mail, ❑ counter, by Date: C actor, designer, owner, was advised of the above by phone, ❑mail, ❑ count r b Date: Plans reviewed by: Date: U Plans approved by: Date: 17, Structural reviewed by: Date: Structural approved by: TMµ Date: Note transfer by: Date: Yellow: Building Division i COUNTY OF 4UTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 13UILDING DIVISION 7 County Center Drive ° Oroville, California 95965 • Telephone (530) 538-7541 P�BMIT NO. 12/96) APPLICATICNAND PERMIT ESSORP CEL NU ZDNINV4 . yZ 5—OO SQ. FT. BUILDING PERMIT TELEPHONE OCDING VALUATION IEijS MARIN�gDDRESS 1. 1 NAME j i D k OIN LENDER V ILING ADDRESS R ENGINEER ARCIQTECT OR ENGWEER-s M ZNG ADDRESS L JNUAut]RESS 'O G LOT NO. USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other ENSE NO. Total Valuation $ Filing Fee $ Permit Fee $ Plan Checkin Fee $ Energy Plan Checking Fee $ ,CEL IAAp PERMIT FEE $ PLUMBING PERMIT 3,12Z A Each Trap Solar or heat um water heater Water piping TYPE OF WORK Each gas water heater or vent New ❑ Addition ❑ Remodel ❑ Utirl6es# Installation ❑ Other ❑ Gas PjR-1219 system 1 - 5 outlets Buildin sewer Describe Work: A L Mobile Home .PERMIT FEE PAID SRA SHERIFF I OTHER R :I AMOUNT RECEIVED $ DATE RECEIVED RECEIPT PERMIT FEE 1 $ r ling t-eel20.00 E 15.00 @20.00 ;; G ELECTRICAL PERMIT Filing Fee 20.00 Main Service °Dov OR's Service 23.00 zooA OR LESS 23.00 (rt Main Service 200A TO toom 46.00 NEW CONST. ( DR ADDNS. DWELLNG OCCLP. b ACC. BL)S. So - 3.5¢ 11 CO VDN-RESID MLR.TI.OVTLEr BR._�S I CIRC R*S @7.50 1_X. VCCU EX. OCCU OtnlET OR FDnLRES OLiLET8�g6 Dea zo @ 1.00 BAL so 5.00 Tem or Service 23.00 Mobile Home Facilities 20.00 Misc, Wiring 23.00 PERMIT FEE I S PERMIT Filing Fee 1 20.00 6.50 PERMIT FEt I S Mobile Home Installation Fee $ Energy Inspection Fee $ ccc CONST. TYPE TO L FEE $ NAZ 0. FEES M FLOOD CDF p g 1{p UE This permit is hereby issued nder the applicable provisions Of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 18 -Dec -2003 2003-0087538 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgement to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as following: The North half of Lot 31, in Gridley Colony No. 6, according.to the official Map thereof, recorded in the Office of the Recorder of the County of Butte, State of California, April 12, 1906, in Map Book 5, at Page 20. Date ,�� ���--Zpp PROPERTY OWNERS: C� _ Sharon Green State of California County o£13t}#e e1 ava(L On _nZ before me, U e✓ �l 1� 1 _( personally appeared v� �ee->n personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, execut9dihe instrumen . WITNESS rhv hand and n=1 e, -al K Signature APN 024-010-101 .0 BRIDGETTE RIST COMM. # 1361629 Seal: ( ' NOTARY PUBLIC -CALIFORNIA +n ` EL DORADO COUNTY Q COMM. EXP. JUNE 20, 2006 -` z I. Building Permit Number: D3 - 35,2 Owner Name: /'„rte' Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation .requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings maybe screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 0.3- 35a7 Owner Name: GrU71 Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure. The following parcel map requirements shall be met: _= All structures and equipment including overhangs shall be clear of all easements. A setback of _Q_ feet from the side and ) n feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. YY Az ' Z FLE�iMQ Suncrest Series Model4513B H O M E S:-• •• :. 1Square - amu, v ;� _ „ .. �:'3�':: r: '4�4 t• ... �. ..-. ....�;1 .. _• ._.,: nr .. y4 s `n .1 3`.. ��� ���.. .,s.. .��, t�,. ..; �Y-�°"-*< _ .�L t � ,E, .:li r.-. .. .. �.. .�.>..�: � k'.i�'y� u.ct / , / ENVIRONMENTAL HEALTH �Gtt■ttt .,. ' ; 2003 ♦PT ,, ' — �.�' ;. COUNTY DRIVE `\\ • I f • \ ' OMASTER BEDROOM i LIVING ROOM `\ BEDROOM #2, /�yrrK OPT. DEN {:a::a::a:a::aa::n�g r�►�EIEI ; iT.-8"X13'-O" � \\` 10'-z^x10'-f0" f0 -2"X12'•10," OPT da ItttttutHtHtt■mmat■t■Ht�t■tt■tt■■t■I `\ DOORS ::::: - ta::a::ana::e:::::::a::::::�:�I BEDROOM �.... t■mmutfill tH■■tHt■■tHt■■t■■iDININO 0 AREAutt■tutt■tutt■u iutHtHtttt■�—_-- u�� a � •■■tut■tt■tr •ttttututr ♦ ♦ tmutt■■i tt tttt� 'SCC=CC::aS6� :::aas' : • aa�-1 ►4tHtu;,/.t■tt■H �,aa:tm�® P�■ttL�LVi•�tttH ■tt■tt■tt■■ I■■ t: I■t■■/' :ate Its' t�tttt� :►�: a:: ►/tt■tt� 1■■t■�p�u.H...H■tttt�■ Ir /mH� oPr.\ aATli .. . s 1 OPT. CORNER BAY OPT. RECESSED ENTRY Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant LApdating and improvement, may vary from the actual home. Al dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. - SU/17/DECO2 ' ' Z - GABLE DORMER `\ - •. - .. _ .. `\\ \ OMASTER BEDROOM i LIVING ROOM `\ BEDROOM #2, OPT. DEN BATH . 18'-0" X iz'-10" ; iT.-8"X13'-O" � \\` 10'-z^x10'-f0" f0 -2"X12'•10," OPT `\ DOORS i ENTRY oPr.\ aATli .. . s 1 OPT. CORNER BAY OPT. RECESSED ENTRY Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant LApdating and improvement, may vary from the actual home. Al dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. - SU/17/DECO2 ' Exterior • Fiber cement siding built to resist weather damage • 2" x 4" exterior wall construction provides a sturdy frame • Transverse floors with 2" x 6" floor joists for better support • Class "A" fire -rated, composition shingle roof for long- lasting, low maintenance performance • Vented roof cavity allows hot air and condensation to exhaust for improved energy efficiency • Inswing front entry door with deadbolt, peephole and brass knocker for your family's safety • Inswing rear door with deadbolt and window add natural light • Low -E coated dual paned vinyl framed windows for better energy efficiency • Porch lights at front and rear entries for your safety Interior • �" drywall tape and texture in all areas (excluding closets) adds style to your interior • Standard 17 oz. carpet in all living and bedroom areas for high performance and low maintenance - 100% nylon to prevent fuzzing and shedding - Multi -colored dye technique minimizes tracking and spotting - Treated with StainTech- for easy cleaning • Glass ceiling fixtures brighten your home's interior • Vaulted ceiling throughout provides an open look and feel • White lined overhead cabinets for easy maintenance • Arched top wood cabinet doors add quality and natural beauty to your kitchen and bathrooms • Metal mini -blinds in living and bedroom areas for your privacy • Hollow core closet doors are durable and provide convenient access Baths • Easy -care laminate countertop with hand laid, 4" ceramic tile backsplash provides attractive color accent • Recessed medicine cabinet provides convenient storage space in each bath • Master bath has a large one-piece oval tub/shower for a relaxing bath or convenient shower • Guest bath has a one-piece 60" fiberglass tub/shower comfortable molded design and easy maintenance • Ceiling exhaust fan provides extra ventilation in each bath • Bank of three drawers in the master bath for handy storage • Extra large vanity mirrors with Hollywood lights in both bathrooms provide an expansive viewing area • Single lever sink faucets Kitchen • Brand name appliances provide confidence and hassle -free service - 30" free-standing gas range - 14 cubic foot frost -free refrigerator • Single lever faucet with sprayer • Bank of 4 drawers provides convenient storage for your utensils • Double cell porcelain sink adds flexibility in kitchen activities • Congoleum® no -wax, vinyl flooring for easy care • Elegant crown molding provides a finishing touch to overhead cabinets • Choice selection of 4" ceramic tile backsplash provides attractive color accent • Wood self -edge provides a finished look • Two pull-out pot and pan drawers provide easy roll out storage convenience Utility, Safety and Energy Features Smoke detector(s) and built-in interior 100 AMP panel box for your safety and easy access Shut-off valves at all plumbing fixtures for your convenience Overhead utility shelf for added storage space Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. O®1996 • Zone Il insulation package for energy efficiency, includes: white vinyl framed, dual -paned windows, R-22 ceiling, R-11 wall, R-11 floor • 30 gallon gas water heater is efficient and requires low maintenance • Gas furnace provides name brand confidence and hassle -free service • Plumb/wire for washer and dryer provides convenient hook up Optional Features • Dishwasher and garbage disposal for quick and easy kitchen clean-up • Skylights of various sizes brighten any room • Refrigerator and range upgrades meet your culinary needs • Deluxe carpet selections for increased performance and beauty • W rebond carpet pad extends the life of your carpet • Ceiling fan circulates air for a "spring breeze" feeling all year long • Rounded sheet rock comers in living areas soften your decor • Beautiful ash cabinet system with recessed panel arched top doors, ash face frames and adjustable overhead shelving add value and quality • Overhead utility cabinets expand your storage space • Recessed fluorescent lights give your kitchen a contemporary look • Sliding glass exterior door welcomes more natural light into your home • 40 gallon gas water heaters provide more hot water for your family's needs • Zone III insulation package to meet the needs of the climate where you live, includes: 2" x 6" exterior walls with R-33 ceiling, R-19 wall, R-22 floor insulation FLEETVI/WD. • FLEETWOOD HOMES of CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 41 18 N. Pioneer Avenue Woodland, CA 95776 (530) 662-3223 SU/ i7/APRO6 9 FILE No.075 01/05 104 AN 08:43 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 2 Vz En'Vi'ronmAnt'll Hpalth rt cl ,JAN 0 5 2.004 a tj -/o 7 County ;enter Drive Oroville, Ca 100 g. a0' 'Zi 9 f m '44 P P 4 "fy env a §`1 IV APPROVED Butte Count s na ure PERMIT NO. 4564-81B PERMIT EXPIRES�._IV .� OWNER Riches d Allen CONTR. AAPCO-Don Willi= Sacto. ASSESSOR PARCEL 24-01-101 LOCATION 108 Archer Ave., Gridley r, ti Temp. Power Pole Called PG&E 1 Temp. Elec. Service Called PG&E Temp. Gas Service x Called PG&E K,. tt JOB FI ED (Date) Signature J = OK , 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORT, cTC. (Plans),j' . ,xcept 1. Zoning Requirements -Setbacks -Easements Z g Requirements-Setb -Eas ents 2. Soils; Special MH Support -Sketch ll."Footings; Size-Depth-Spacing-Conneciors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. StS-Decking-Bracing-Stairs-Rails 4. Water; Location -Test -Easement Needed (Sketch)- 4, s-Rftrs.-Connec.-Shtltg.-Rfo.--Bracing'_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Alum. Awn.; Col-ConnerSpi.i-Degal-E-+ "v,-.- ?S 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ L"ft./ /" LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Card -BI Date Date -/r d -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable RESIDENTIAL' Sin le and Duplex) � = Not Ready !, 9 p 1 Date UNDERFLOOR Plans OK exce t#'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / : /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage;'Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way -C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 72. Insulation -Foam -Looked in Attic F] Yes Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground - Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32._ 33• Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic - ---- Card -BI Date Card -BI Date Card -BI - -Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Card -BI Date Card -BI Date Comments at Final: 37. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing _ -41. 42. 43. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47, Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WOR 7 County Center Drive - Oroville, California 95965 - Telephone 916/5 - - - APPLICATION -AMD PERMIT P D :z.4 -y ( -)v I - BUILDING PERMIT /1 1 ( OWNE- A - I TELEPHONE SO. FT. I OCC. J BUILDING VALUATION ADDRESS N ARCH( jyeZ5O _ fiI NWR IPPcj- LIICCENS' AR�/y�f//�f/ � R AV/ I%EER'S MAI LIN ST BUILDING ADDRESS 16,7 AP_�i-les LOT NO. I SUBDIVISION NAME I PARCEL MA USE OF STRUCTURE SF Duplex❑ MobilehomeLij- Other SPECIFY / TYPE OF WORK New [� Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: ZAAST-, LL A UM IAA U f AIWAIJAG CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [ am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Q15—R-22— Classification C (� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1%1a1151))" ❑ I, as the owner, am exclusively contraging with licensed contract- ors. (Sec. 7044) t ,. ❑ I am exempt under Sec. , Business and Profess ons Code for this reason WORKMEN'S COMPENSATION INSURANCE - I declare under penalty of perjury (check one):'t ❑ The permit is for $100.00 (valuation) or less. Gam, Dave placed on file with the County of Butte Building Department Lt� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to -building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' st said County in onsequence of theAraing of this permit. DateJV14 ignature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct• ion of structures over 3 stories in height. Receipt No. . )_R ;?, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Repair drainage or vent piping Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Lawn sprinkler system Permit Fee `_&U-00 $ 10.00 $ In 00 $ s Fi I i ng Fee 2.00 5.00 10.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR SLESS 5•Q� Main service 'EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.py) OR ADONS. ACC, BLDGS. 2¢sgft NEW CONSTR NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS S\- NON-RESID. SINGLE OUTLET CIR, / Ex. Occup(OUTLETS OR FIXTURES 50 0 BAL�i Ex. OCCUp.(O UTLETS FIXED APP(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DJRECTOR OF ELIC WORKS By. Date PERMIT EXPIRES Date /A—i���- 1861 9j 330 �d pin ' io �iea6 •o0 f .. PERMIT NO. PERMIT EXPIRES y OWNER Richard K. Allen CONTR. owner _ ASSESSOR PARCEL 24-01-101 LOCATION 108 Archer Ave., Gridley, . I f �f I a 0 9 Temp. Power Pole F Called PG&E Temp. Elec. Service %o -s -� y Called PG&E - Tern p. G&ETemp. Gas Service a- Called PG&E S� JOB FINALED (Da )-� SignatJre J = OK 0 = Not OK . — = Not Applicable * = Not Ready r l v MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS; r'TC. (Plans) C :xcept ; Ae'Zog Requirements—Setbacks—Easements Soils; Special MH Support—Sketch 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Depth—Spacing—Connectors "• - 7/.,12X44e'! ewer; Location—Test—Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Wa ; Location—Test—Easement Needed (Sketch) J' _- 4, Wood Awn.; Posts— Beams-Rftrs.—Connec.—Shthg.—Rfg. -Bracing 00flectricity; Location—Clearances—Grnd.—/"®Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc,os,.res iorrTest—Wrap: "L"ft./ /r'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows=Doors Utility Clearance 7. Elec. A"ZF7`1 raw, Car BI Date Card -BI Date Card -BI Date Card -BI Date C rd -BI Date " Card -BI Date Card -BI _ Date Card -BI Date. Date IVIOBII�XHOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except #'s Zon' equirements—Set s 1, Setbacks—Easements oo'ngs; Size—Spacing 2. Soils; Compaction—Structure Stability _T as Test—De —Vain' or 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining "S- le ricity; MH Test— re Clearances _ 4. Elec.; Receptacles and Lighting; Distances—GFI r ,'MH Test—Fall—Flex Connector W44erMH Test—Regulator—Connector } 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Ff Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater t�k--5-74 8 Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Exits; Insp.-Sketch �f . 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B t ._A Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI _ Date Card -BI Date Card -BI Date I J' = OK, = Not OK = Not Applicable RESIDENTIALlSingl�e and Duplex) 4 Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Fig. -Steel 54. Glazing Area -Glass Protection -Skylights -Plastic B. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts '• 9. Gas Pipe; Size -Anchors _ 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ _ _17. 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails - - 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23• Romex Installed Close to Edge of Studs & C.J. 72• Insulation -Foam -Looked in Attic ❑ Yes _ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ]Yes ;]No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 -No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet -- 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---- Card B -I -----. --- - ---- - Date Card -BI Date 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Card B -I Date -_ Date Card -BI Date MECHANICAL (Permit) OK except p's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation _ 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade _ _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI 35. Attic Access & Platform if Furnace in Attic Date - -Card-BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date i FRAMING(Plans) 36. 37. 38. 3_9. 40. OK except 4's Sills; Proper Material & Anchors _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ _ Draft Stop in_Walls _(rat proof) Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. 46. 47. _Fire Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions_ _ Garage Fire Protection Framing _ (NOTE: An entry must be made each time you visit job site) I'" COUNTY OF BUTTE DEPARTMENT' OF PUBLIC WORKS 196'Memorial, Way, Chico — Phone: 891-2751' 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE E a 14 9-^.- A !t. -V BUILDING OR PROPERTY ADDRESS A routine' .ny ect' sndicates that the following violations of County Ordinance exist at tfie addess and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Ins �:,�m � ��Q�-t �! kms}, - • . Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27511 7 County Center, Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. A-, ">00A If Inspecto Date U. J. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE -OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number L42 .-R-^ for the following location: Tn.p 4XCIA00 �« Owner P n s-<-s4/f 1` A I/ Owner's Address ��- Mobilehome Mfg., r/Am Model %% +5 Year in�7— Insignia No'. OA 1 -2 7 + 17tf Serial No. --- ................. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Dago � By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS -RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. y COUNTY OF BOTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4f APPLICATION AND PERMIT -W14DI PARCEL RICHARD K. ALLEN 'OWNER'S MAILING ADDRESS 108 ARCHER AVE. GRIDLEY�CA.9 9 CONTRACTOR'S NAME TOM IS MOBILE & MOTOR CONTRACTOR'S MAILING ADDRESS 6366 LINCOLNIOROVILLEI CA. 9596 CONSTRUCTION LENDER ENDER'S MAILING ADDRESS NEER'S MAILING ADDRESS �e/ LOT NO. ISUBDIVISION NAME A2 TELEPHC 46-42 —911 UNKNOWN X PARCEL MAP USE OF STRUCTURE SF ❑ DuplexQ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation Rl Other ❑ Describe work: INSTALL M O B I L E H O M E CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �(] I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)- I 044)I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): .❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I•also agree to save, indemnify and keep mless the County of Butte against all liabilities, judgments, costs, and a (Uses which may in any way accrue against said Cou in cons uence of h granting of this permit. X Date 111/ql r" Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No.y " i 10 WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT N0. BUII D11l� PERMIT - SQ. FT. I OCC. BUILDING VALUATION Fireplace Total Valuation $ Permit Fee Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Repair drainage or vent piping Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Lawn sprinkler system Permit Fee $ $ /O.00 Filing Fee 3.00 __[:2.00 2.00 2.00 2.00 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS, ACC. BLOGS. 20 sq ft NEW CONSTR ULTI.OUTLET NON.RESID, BRANCH CIRC ITS 2,50 ea NEW CONSTR.POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. Ex. Occ Up(OUTLETS OR FIXTURES 50@25C BAL @ lOs FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT IFilingFeel 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ O,00 TOTAL PERMIT FEE . $ 575'0 OCCUP. GROUP I TYPE OF CONST. PARCEL I PD I No I I This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 01 -RE T R OF PUBLIC WORKS By 4 K ' IiC.�.� PE#T EXPIRES Date Date l� BUTTE COUNTY DEPARTMENT OF .PUBLIC WORKS . , 7 County Center Drive, Oroville,'CA,,'. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner'.s name: R I C H A R D K. ALLEN 2. Installer's name: TOM' S MOBILE & MOTOR 3. Is the site currently under permit? Yes.% /,. No (If yes, furnish permit number ). OR a Is the site an existing site? Yes / No (If yes,. furnish two (2) plot plans..) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear,.of•all setbacks and easements? Yes / / No 7_1 (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 100 Amps 6. What is the mobilehome site service rating? ------------- ---�---- 30Cj Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load.to be served by the mobilehome site service? ------------------------------=-----------------=- .. Yes es No / / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- IO. -,What is the type of gas service? -------=-=----=-------------- Natural / u/ LPG 11., What is the gas pipe length from meter or tank to the mobilehome? 1+71 (ft.) 12. What is the mobilehome gas demand? ------------------------------ A4-41 Q o (BTU) (This information not required if pipe length 1 than 6 ft, on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other'than single wide; Mobilehome Mfr. LKfurnish Setup Model No. 811 Year 1 qpp Width -'14 (ft.) Box Length 5_(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. �I` (ft.)(in.) Center support locations* (ft.)(in.) (ft.) (in.) (ft.)(in.) (ft.) (in.) (in.) (in.) Center support footing sizes (in.) �X (in.) (in.) (in.) (in.) (in.) (in.) Footings (check one) Single 1. Wood either A pressure treated or foundation grade. F],2. Other (specify) Supports (check one) 1: Concrete block. 2. Other (specify) Tagalong or Expando, show support details. Typical Support n. ) Footing .Size �� -- Max. Pier Spacing 11 -- Max. Overhang 12-J + (ft.)(in.)Z,z�% BUTTE COUNTY BUILDING DEPARTMENT, *If center piers are other than drawn above, ,'draw in..locations, spacing, and dimensions. 1 COUNTY OF BUTTE - DEPARtAT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 -�\�4 APPLICATION AND PERMIT, ASSESSO Fjt'PAR:%EL NUM�(//OF,/R zOly N� / ILDING PERMIT °k%GMgeD ' "(� �J �jELrPH9 SO. FT. OCC. BUILDING VALUATION OW AAILING ADDRESS CONTRACTOR'S NAME _ _ _ VV TELEPHONE CONTRACTOR'S MAILING ADDRESS _. ELECTRICAL PERMIT Filing Fee 10.00 CONSTRUCTION LENDER - UN 2,50 NEW CONST_ DWELLING OCCUP.01) OR ADONS. ACC. BLDGS. 2�sgft LENDER'S MAILING A D ESS 2,50 ea NEW CONSTR / POWER APPARATUS D) NON.RESID. \SINGLE OUTLET CIR. ARCHITECT OR ENGINEER BAL@1 LII 2.00 Temporary service ARCHITECT OR ENGINE 'S MAILING ADDRESS Mobile Home Facilities 15.00 /,S,pp BUILDING/QD@ESS 7.50 LOT NO. I SUBDIVISION NAME PARCEL MAP USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[lXother SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification XI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Repair drainage or vent piping Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Lawn sprinkler system Permit Fee $ 10.00 $ /DOD $ $ Filing Fee 10.00 2.00 5.00 5.00 M-0107..7 Contractor Permit Fee ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS - Main service EA. AOD'L 100 AMP 2,50 NEW CONST_ DWELLING OCCUP.01) OR ADONS. ACC. BLDGS. 2�sgft NEW CONSTR I.OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea NEW CONSTR / POWER APPARATUS D) NON.RESID. \SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR EX. OCCUp.�OUTLE TS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /,S,pp Misc. Wiring 7.50 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabili ' s, judgments, costs,nd expenses which may in any way accrue against i County in c se uen f h granting of thispee it. X Dated ""y &1 !Io%p/ Signat re of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ , Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (b. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabili ' s, judgments, costs,nd expenses which may in any way accrue against i County in c se uen f h granting of thispee it. X Dated ""y &1 !Io%p/ Signat re of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , 5d OCCUP. GROUP I TYPE OF CONST. PARC Fjt PD HD 93UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS // �`� Receipt No. �Uryo WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW • AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 1-36852 FOR RESIDENTIAL DEVELOPMENT, 3tITE COUNTY (;.A F. Section 26-8.1 of the Butte County Code requires'this acknowledgement D E ;;;C�i w 0,'Y be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of tt A,!t;ks,•'.yt this property may be subject'to inconveniences or discomfort arising(���� from the use of agricultural chemicals, including, but not limited to herbicides, F pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, described as follows: The North half of Lot 31, in Gridley Colony No. official map thereof, recorded in the office of of Butte, State of California, April 12, 1906 in Date: nTnirQM'her_I &_l�LB1 State of California, 6, according to the th'e Recorder of the County Map Book 5, at page 20. .�. OPM FA FIA State of California ) On this the 17th. day of November 19 81 SS. before me, the undersigned Notary Public, personally County of Sutter ) appeared i rcf 4• l l i Q. m OFFICIAL SEAL_ known to me to be the person(s) whose name(s) is, rN.. JOYCE D. FRANCISsubscribed to the within instrument and acknowledged Qa NOTARY PUBLIC - CALIFORNIA that He executed the same for the purposes SUTTER COUNTY therein contained. My comm. expires MAY 10,1982 IN WITNESS WHEREOF, I hereunto set my hand and ,official seal. Present A.P. NO. 0-ILk-01'101 otary Public END OF DC)CUMENT 0 0 NOTE, k1l Materials & Workmanship Shall Qq Accordance with Recognized Good Practices .6nd of a qual fy prescribed for the Specified use in the -Uniform Eilding, Plumbing & Machainicall Codes and Ae Natio al Mecfrical Code*e I This set Of Plans and specifications MUST kept on the job Of 011 times and if - make is unlawful any changes or alferc4ions on some wifhc wriffen permiss: Works, r 'On from The r)eParf ment of Pub of R'lop. 30 �_fl BUTTE COUNTY BUILDING DEPARTN APPROVE setback of 5 -ft. from the a setback propertY lines and of '56f t. from the road l be cear centerlin e shall 4,nt except structures or equ!Pm- for a 2 ft. A permit will insfallofian a be requjM§ for the F fhe m9b'lehome. I 4-v .1 Utility connections shall be wilAilft 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehorne. I This set Of Plans and specifications MUST kept on the job Of 011 times and if - make is unlawful any changes or alferc4ions on some wifhc wriffen permiss: Works, r 'On from The r)eParf ment of Pub of R'lop. 30 �_fl BUTTE COUNTY BUILDING DEPARTN APPROVE � i AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVELLE, CA 95965 2003-0087538 Recorded OfficialRecords CoBUTTE f CANDACE J. GRUBBS Recorder . ROSEMARY DICKSON Assistant 11:27AM 18 -Dec -2003 REC FEE 7.00 CONFORM 1.00 Kathy Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgement to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as following: The North half of Lot 31, in Gridley Colony No. 6, according to the official Map thereof, recorded in the Office of the Recorder of the County of Butte, State of California, April 12,1906, in Map Book 5, at Page 20. Date X12 —12- — 2pQ 2, PROPERTY OWNERS: State of California County oUlo to Ei avztdO On I D I [D --O-9 before me, personally appeared �dY� C�1� ��✓� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, execuhe instrumen . WITNESS nhvhand and offih4l seal_ C Signature APN 024-010-101 U BRIDGETTE RIST COMM. # 1361629 Seal: 0 - NOTARY PUBLIC -CALIFORNIA ELDORADO COUNTY 0 COMM. EXP. JUNE 20, 20061 ! 3C VtR.�QJ 3T M[ 3JkQlhp3 1 tish�ro�eQ i i4tamla YRaMM&, Ol Ol . r RICHARD K. ALL N �.,, LO11GACRE, Robert 1y�0-72I1,.E 108 Archer Avei'ue,. Gridley -Ol- a 24 01'. -6(aa �� _; and K. Allen, s�s Archer Ave. at Bonnell-Ave. Intersection, �J2 108 her Ave., Gridley Gridley (utilities for mobile home) Permit: 04-81P,E(uti1.,MH) contr: AAPCO-DonWilliams, Sacto. 16 -8 B ew awnin /MH r A ':;; oy ' a+'� r'.: . ti.,':X'�r _i, ° .fi..'_ .e. 'C4'a+' �, i- °;� S " .r 5 .r .h x ,ts• " _ - �'•. .;� �'- r ,§8ri, w : r;� ^, t, �fs�� a�' t",.• •C�'M.`E{��3��. %.,- �g,:,� _ rt {!. .n� r r{. �- � A_ i.y,^. :'.'•.r ✓.• 'i .x- {ice{�.. - .;'+' ♦r,.x._y,Y. - L .Z:F .M, .. )' - -y a�.1�n �u-t �t.4 a��J }. r�.'� 'r"K _t-�`� `w F '��^+r. '�?: f 6.���t s �v.,.• r P� .ej ?.LAS---` r �'t .aa rr. T. . •4v j a i� - rS. .S �'y' �t+,�y1'.i' � ry, � 4 r' •i'�`.c-:�,s� c1y .+r"' `i x d 3 t ga :.t } z i e 5 r Y:P t sE•tc tats r .i�'s�c C FIRE DAMAGE REPORT OWNER: DATE: LOCATION: OA-,,-�Avt'' & A.P. # a -0 1 Q-- (� CONTRACTOR: •ZONING: DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE (LAS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Currently Occupied es (_ ) No Abandoned/Vacant: Electric: Electric Currently ( ) On ( ff Condition of Electric Gas: Currently ( ) On Condition Sanitation: Plumbing Working ( eTle's ( ) No , Obvious Sewage Problems ( ) Yes (- Mobile Home Condition of Utilities: amaged -Requires Permit ( ) Undamaged -No Permit Required Description of Damaged Area: L �� ���%1-(�) (x , 9A5 C� G Estimate Cost of Repairs: aj)nb C% Condition of Foundation:( )Good (Poor Explain if repairs needed: I Inspector: Sketch building on reverse and indicate area of damage. Date: t . C),;)- q-- 0 (0 - cc) ( CDF/BUTTE COUNTY FIRE INCIDENT LOG DATE 09/14/2003 REPORT TIME 12:07 INCIDENT NUMBER p 10799 LOGGED BY IJAMC LOCAL FIRE NUMBER 109171 RO SANN, STATE FIRE NUMBER BI CASE NUMBER MEDICS LOCATION 1108 ARCHER AVE RP KEVINI PHONE NUMBER WILDLAND FIRES ❑ ESTIMATED ACRES STRUCTURE FIRE RESIDENTIAL OTHER FIRE MEDICAL AIDS PSA/OTHER HAZ MAT COMMENTS WELL INVOLVED DOUBLE WIDE MOBIL EMD ❑ OES ❑ PRA Y1 ECC ❑ 682-4865 ' REPORT METHOD 1911 FIRE INFORMATION FIRE INFO SENT HOW E-MAIL BY JAMC TO STA 74 7 -DAY LOGGED 0 INITIALS JAMC INCIDENT NAME ARCHER START DATE 09/14/2003 START TIME 12:00 DIAMOND # 5.0 CAUSE UNDETERMINED LAND USE DOMESTIC ACRES TYPE OF ACRES DIAMOND 5 ONLY $ DAMAGE TYPE IIALL OTHER DOLLAR DAMAGE 10000.0 I SAVE r 70000.00 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES 01 # CIVILIAN FATALITIES =0 0� # FF INJURIES 11 01 # FF FATALITIES 1 01 FC -40 INFORMATION We incident FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE J FC -40 COMP BY County Notifications ❑ EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer �-❑ --� - • -fix s6 - - _ .. _ r w 24-01-101 RICHARD K. ALLEN LO'dGACR.E, Robert 1950-72.P,E 108 Archer Avenue, Gridley:: MPLAINT TO INSPECTOR A-01-101 s/s Archer Ave. at Bonnell Ave . Intersection, a 1 and K. Allen Gridley 108 her Ave., Gridley (utilities for mobile home) ('� Permits 04-81P,E(util. ,MH) ELEC.1{-2-�- 2CL7 GAL( ST SUPPORT STRUCTURE COMPACTION TEST REQ. 24-0 Contr. Tom's ,�I ile Q` ot+ Permit## -81MHI 3 Iss 14% /�j - 1 -ma/ //m/ v�4-01-101 jjjj4-r" contr: AAPCO-Don Williams, Sacto. Cyt=i9•a✓ d:}s� •,y_FP, '�"•.a zy"�-'� il�"s. 9iv.:� QTS ab r 'E -x K•' s 1 �a 1 cok; ;.c,a';``4 'iM t 7•^. -.yi_ �; `;'� '" rL ..;x Y T Y r i i;. �; }° :tib: "''�=sak. xa t^�j�'� j�y� '� ��"'� � �z✓,r s r �{: . L f�' i Y i